scholarly journals Translation of a Falls Prevention Behavioral Intervention for Family Caregiver Administration

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 449-449
Author(s):  
Victoria Panzer ◽  
Veronica Smith ◽  
Dorothy Wakefield ◽  
Richard Fortinsky
Keyword(s):  
Behavioral Change ◽  
Regression Models ◽  
Effective Means ◽  
Falls Prevention ◽  
Evidence Based ◽  
Intervention Period ◽  
Mini Mental Status Exam ◽  
Use Of Technology ◽  
Technology Group ◽  
Trial Participants

Abstract FallsTalk is a one-month evidence-based falls prevention (FP) program that focuses attention on causes of an individual’s falls and encourages new FP behaviors. We translated the program for family caregivers of persons with cognitive impairment or dementia (PwCID) to administer to the PwCID and examined the number of new FP behaviors (#newFPBs) reported during the intervention period by the Caregiver. Thirty-four Dyads (Caregiver+PwCID) were trained to conduct brief daily FP discussions together using paper (FTCGnoTech) or computerized (FTCGTech, n=20) guidance. Dyads had FallsTalk training, daily discussions and weekly check-in calls. FTCGTech included discussion suggestions tailored to Caregiver concerns. To examine the use of technology, Poisson regression models compared #newFPBs between FTCGnoTech and FTCGTech and included covariates age (<80 or >=80), Mini-Mental Status Exam (MMSE >25 or <=25) and interactions. To evaluate the influence of Caregiver participation, #newFPBs reported by 115 non-demented clinical trial participants (no Caregiver- FT-ClTrNoCG) were compared with the Caregiver outcomes. Dyads using technology reported significantly more #newFPBs (MeanFTCGnoTech=5.34(SEM=0.68), MeanFTCGTech=8.46(SEM=0.76); p=.004) during the intervention month. A significant interaction was observed whereby Dyads with MMSE<=25 using technology, reported significantly more #newFPBs than the non-technology group (MeanFTCGnoTech=4.23(SEM=0.72), MeanFTCGTech=9.01(SEM=0.90); p=.047). Caregiver (n=34) involvement substantially increased #newFPBs (MeanFT-ClTrNoCG=1.39(SEM=0.15), MeanCaregiver=7.21(SEM=0.49); p<.0001), independent of technology. Across studies, participants or Caregivers for those with MMSE<=25 and <80yo reported significantly more #newFMBs (Mean=4.38(SEM=0.55) than those 80+yo (Mean=2.06(SEM=0.30); p=.0026). FallsTalk Caregiver provides an effective means to promote new Dyad FP strategies. The influence of Caregiver involvement and technology show promise in encouraging behavioral change to prevent falls.

scholarly journals Age-Tastic: An Evidence-Based Intervention to Improve Health, Safety, and Well-Being in Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 497-497
Author(s):  
Manoj Pardasani ◽  
Jacquelin Berman ◽  
Mebane Powell ◽  
Madison Gates
Keyword(s):  
Older Adults ◽  
Health Literacy ◽  
Behavioral Change ◽  
Self Efficacy ◽  
Intervention Group ◽  
Health And Safety ◽  
Well Being ◽  
Falls Prevention ◽  
Control Group ◽  
Evidence Based

Abstract Age-Tastic! is a holistic intervention that enhances the well-being, health and safety of older adults. Most evidence-based interventions aimed at older adults have focused on singular aspects of health such as cognitive health, falls prevention, depression, advanced care planning, etc. There are few interventions that encompass a holistic approach to health and safety. Age-tastic! is one such intervention that encompasses various aspects of health – social support, financial well-being, physical safety, mental health, health care management, and nutrition. Designed as a competitive board game to entice older adults, this intervention integrates concepts of cognitive restructuring, behavioral activation and game theory to educate, motivate and encourage healthful behaviors. At the core of this intervention is a focus on increasing awareness of health and safety issues, improving health literacy and changing harmful behaviors. A randomized control trial was conducted with 98 older adults assigned to an experimental and control group. Interviews were conducted at baseline, right after the intervention ended (8 weeks) and again after a short time (8 weeks after intervention ended). The results showed significant increases among experimental group participants in knowledge of healthy behaviors (p=0.05), perception of self-efficacy for engaging in healthful behaviors (p<0.001) and engagement in health behaviors (p=0.001). Regression analyses demonstrated that greater knowledge and self-efficacy were associated with behavioral change within the intervention group (p<0.001). Knowledge about the importance of preventing falls and communication with medical providers was positively correlated with the corresponding behavioral change (p<0.05). Implications for health literacy among older adults will be shared.

Participation in Two Evidence-Based Falls Prevention Programs by Adults Aging With a Long-Term Disability: Case-Control Study of Reach and Effectiveness

2018 ◽  
Vol 31 (10_suppl) ◽  
pp. 39S-67S ◽  
Author(s):  
Thomas J. Eagen ◽  
Salom M. Teshale ◽  
Angelica P. Herrera-Venson ◽  
Anne Ordway ◽  
Joe Caldwell
Keyword(s):  
Older Adults ◽  
Fear Of Falling ◽  
Prevention Programs ◽  
Preliminary Evidence ◽  
Case Control ◽  
Falls Prevention ◽  
Evidence Based ◽  
Activity Restriction ◽  
Increased Risk

Objective: Adults aging with a long-term disability (LTD) are at an increased risk for falls. The Older Americans Act Title III-D and Prevention and Public Health Fund (PPHF) support several organizations to deliver falls prevention evidence-based programs designed to reduce risk factors; however, little is understood about the reach and effectiveness of these fall prevention programs for those with LTD compared to those without LTD. This study compared the reach and effectiveness of two evidence-based falls prevention programs between older adults with and without LTD. Method: Using a matched case-control design, 105 LTD older adults enrolled in A Matter of Balance (AMOB) or Stepping On were matched to 315 non-LTD older adults on age, sex, race, and education. Results: On average, LTD older adults attended a higher number of class sessions and were significantly more likely to complete the program compared with the matched-sample of non-LTD older adults. LTD older adults were equally likely as non-LTD older adults to report significant reductions in self-reported fear of falling, falls-related activity restriction, and improvement in falls self-efficacy following completion of the programs. Discussion: These findings provide preliminary evidence for the effectiveness of these evidence-based falls prevention programs for LTD older adults; however, more research is needed to extend these findings.

scholarly journals Evidence-based interactive management of change

2011 ◽  
pp. 170-200
Keyword(s):  
Organizational Development ◽  
Business Processes ◽  
Service Oriented Architecture ◽  
Effective Means ◽  
Evidence Based ◽  
Management Of Change ◽  
Interactive Management ◽  
Business Objects ◽  
The Individual ◽  
Representation Scheme

Evidence-based interactive management of change means hands-on experience of modified work processes, given evidence of change. For this kind of pro-active organizational development support we use an organisational process memory and a communication-based representation technique for role-specific and task-oriented process execution. Both are effective means for organizations becoming agile through interactively modelling the business at the process level and re-constructing or re-arranging process representations according to various needs. The tool allows experiencing role-specific workflows, as the communication-based refinement of work models allows for executable process specifications. When presenting the interactive processes to individuals involved in the business processes, changes can be explored interactively in a context-sensitive way before re-implementing business processes and information systems. The tool is based on a service-oriented architecture and a flexible representation scheme comprising the exchange of message between actors, business objects and actors (roles). The interactive execution of workflows does not only enable the individual reorganization of work but also changes at the level of the entire organization due to the represented interactions.

scholarly journals Irish occupational therapists use of evidenced-based falls prevention programmes

2019 ◽  
Vol 48 (1) ◽  
pp. 17-30 ◽  
Author(s):  
Kim Lombard ◽  
Laura Desmond ◽  
Ciara Phelan ◽  
Joan Brangan
Keyword(s):  
Older Adults ◽  
Occupational Therapists ◽  
Exercise Programme ◽  
Falls Prevention ◽  
Evidence Based ◽  
Snowball Sampling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Content Type ◽  
Prevention Programmes

Purpose As one ages, the risk of experiencing a fall increases and poses a number of serious consequences; 30 per cent of individuals over 65 years of age fall each year. Evidence-based falls prevention programmes demonstrate efficacy in reducing the rate and risk of falls among older adults, but their use in Irish occupational therapy practice is unknown. This study aims to investigate the implementation of falls prevention programmes by occupational therapists working with older adults in Ireland. Design/methodology/approach A cross-sectional survey was used to gather data on the use of falls prevention programmes among occupational therapists working with older adults in any clinical setting across Ireland. Purposeful, convenience and snowball sampling methods were used. The Association of Occupational Therapists of Ireland acted as a gatekeeper. Descriptive statistics and summative content analysis were used to analyse quantitative and qualitative data, respectively. Findings In all, 85 survey responses were analysed. Over 85 per cent of respondents reported “Never” using any of the evidence-based falls prevention programmes. The “OTAGO” Exercise Programme was the most “Frequently” used programme (9.5 per cent, n = 7); 29 respondents reported using “in-department” developed falls prevention programmes and 14 provided additional comments regarding current falls prevention practices in Ireland. Originality/value In the absence of Irish data on the subject, this study provides a benchmark to describe the use of evidence-based falls programmes by Irish occupational therapists with older adults.

scholarly journals Global & Community Health: Acute ischemic stroke in Toronto and Manila

Neurology ◽  
2020 ◽  
Vol 95 (13) ◽  
pp. 604-606
Author(s):  
Sanskriti Sasikumar ◽  
Jose Danilo Bengzon Diestro
Keyword(s):  
Ischemic Stroke ◽  
Collaborative Learning ◽  
Acute Ischemic Stroke ◽  
Evidence Based Medicine ◽  
Effective Means ◽  
Cost Effective ◽  
Evidence Based ◽  
Resource Limited Settings ◽  
Resource Limited ◽  
Based Medicine

The educational experience of a neurology trainee can have profound regional variations. We recount the management of a stroke code in Toronto, Canada, and Manila, Philippines, as a means to highlight the need for collaborative learning, both in terms of practicing evidence-based medicine and managing neurologic conditions in resource-limited settings. Concerted peer-led initiatives such as videoconference rounds are an easy and cost-effective means of unifying this experience.

Prehospital use of the traction splint for suspected mid-shaft femur fractures

2019 ◽  
Vol 11 (9) ◽  
pp. 390-395
Author(s):  
Ian Ronald Howland ◽  
Ian Lucas Howard ◽  
Yugan Pillay ◽  
Beverley Dawn Ludick ◽  
Nicholas Raymond Castle
Keyword(s):  
Patient Care ◽  
Femur Fracture ◽  
Prehospital Care ◽  
Effective Means ◽  
Training Session ◽  
Improve Patient Care ◽  
Care Providers ◽  
Intervention Period ◽  
Femur Fractures ◽  
Retrospective Audit

Introduction: A retrospective audit of electronic patient care records (ePCRs) highlighted the infrequent use of the traction splint for the management of femur fractures. The aim of this study was to improve the use of the traction splint for patients presenting with a mid-shaft femur fracture in the absence of contraindications, by means of introducing a purpose-designed trauma CPD training course. Methods: An intervention consisting of a simulation-based mandatory trauma CPD training session for all operational prehospital care providers was implemented over a 3-month period, supported by a pre- and post-implementation staff survey regarding staff perceptions of using a traction splint. Following the intervention period, a repeat retrospective audit of the ePCR database was conducted to identify any improvement in the use of the traction splint. Results: The use of the traction splint for a femur fracture in the pre-intervention stage was found to be underutilised (Median 16%). Following the intervention period, however, traction splint use increased significantly (Median 50%). An improvement was also noted in staff perception and understanding of the management of femur fractures. Conclusion: This study found that focused trauma training is an effective means to improve patient care. Training should be ongoing in order to maintain skills and knowledge needed for management of femur fractures.

scholarly journals EFFECT OF PHYSICAL EXERCISE ON COGNITION IN ADULT DAY PARTICIPANTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S652-S653
Author(s):  
Bradford Stucki ◽  
Ben Katz ◽  
Jonathan Briganti ◽  
Ila Schepisi ◽  
Shannon Jarrott
Keyword(s):  
Older Adults ◽  
Physical Exercise ◽  
Effective Means ◽  
Cognitive Status ◽  
Data Set ◽  
Moderation Effect ◽  
Exercise Interventions ◽  
Mini Mental Status Exam ◽  
Exercise Regimen ◽  
Exercise Activity

Abstract Aerobic exercise has been demonstrated to be one of the most effective means of improving cognition in older adults. However, less is known about how exercise programs may improve cognition in older adults participating in Adult Day Service (ADS) programs. We analyzed a ten-year longitudinal data set from the Virginia Tech ADS center. We limited our analyses to individuals for whom we had two time points of the Mini-Mental Status Exam (MMSE) (n=142; average age = 78.48; 63 female, average days at center = 347; SD=432.71). Participants in the center completed approximately 30 minutes of physical exercise each day of attendance. The exercise regimen was largely composed of aerobic chair exercise, stretching, and lifting. Facilitator ratings of engagement with the exercise activity between the two test administrations were used to create an average engagement score for each participant. Multiple regression analyses were conducted using engagement as a predictor and change in MMSE as an outcome; no significant relationship was identified between exercise engagement and change in cognitive status. However, a moderation analysis conducted with diagnosis of Alzheimer’s disease (AD) or dementia as a predictor, change in MMSE as an outcome, and exercise engagement as a moderator revealed a significant moderation effect (p = .001). Greater exercise engagement was associated with improvements on the MMSE, but only for individuals without a diagnosis of AD or dementia. Given that many ADS programs serve individuals both with and without AD or dementia, these findings may inform more personalized exercise interventions at ADS centers.

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